Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $2,090.00 / $7,316.00	Facility		$160.30	$2,090.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $139.49 / $222.97	Professional		$91.31	$139.49	$222.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.62 / $158.62 / $158.62	Professional		$158.62	$158.62	$158.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $134.19 / $540.33	Facility		$78.58	$134.19	$540.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $153.90 / $218.55	Professional		$96.84	$153.90	$218.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $98.76 / $169.14	Facility		$50.89	$98.76	$169.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $93.57 / $183.06	Professional		$57.61	$93.57	$183.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $136.78 / $154.90	Facility		$87.39	$136.78	$154.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $170.15 / $255.25	Professional		$108.98	$170.15	$255.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $729.00	Facility		$55.00	$55.00	$729.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $774.08 / $1,208.32 / $1,398.45	Professional		$774.08	$1,208.32	$1,398.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.93 / $152.57 / $224.83	Facility		$98.93	$152.57	$224.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $191.93 / $292.97	Professional		$128.99	$191.93	$292.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $155.83 / $194.26	Professional		$91.23	$155.83	$194.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.93 / $153.10 / $230.22	Facility		$98.93	$153.10	$230.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $176.47 / $289.99	Professional		$114.80	$176.47	$289.99
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $168.30 / $254.25	Professional		$125.87	$168.30	$254.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $155.83 / $218.16	Professional		$138.31	$155.83	$218.16